TWIN CITIES CENTER FOR PSYCHOLOGY & WELLNESS, LLC (NPI# 1659717502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659717502 |
| Entity Type | Organization |
| Organization Name | TWIN CITIES CENTER FOR PSYCHOLOGY & WELLNESS, LLC |
| Practice Address |
1350 Energy Ln Ste 110a Saint Paul MN 55108-5254 |
| Practice Telephone | 6512124877 |
| Practice Fax Number | 6512124872 |
| Mailing Telephone | 6512124877 |
| Mailing Fax Number | 6512124872 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | DR. MAINHIA KHANG (OWNER) |
| Authorized Official Telephone | 6512124877 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1821356098 | 05 |
| Street Address |
1350 ENERGY LN STE 110A |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985663 | Chiroworks Pa | Chiropractor | 1350 Energy Ln Ste 110a, Saint Paul, MN 55108-5254 | 2018-09-10 |
| 1699125369 | Duag Tooj Tom Thoj | Chiropractor | 1350 Energy Ln Ste 110a, Saint Paul, MN 55108-5254 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1326678004 | Adrift Counseling, LLC | Clinic/Center | 1032 Grand Ave # 201, Saint Paul, MN 55105-3064 | 2020-01-22 |
| 1720644321 | Sunrise Recovery Services, LLC | Clinic/Center | 1375 Saint Anthony Ave Ste 202-01, Saint Paul, MN 55104-4006 | 2019-05-20 |
| 1699249342 | Indigo Counseling Center | Clinic/Center | 2388 University Ave W # 202, Saint Paul, MN 55114-1769 | 2019-01-16 |
| 1932608916 | Pioneer Healing and Restoration Services Inc | Clinic/Center | 1885 University Ave W Ste 300a, Saint Paul, MN 55104-3462 | 2018-02-06 |
| 1467950857 | Samantha Rivera Healing Center Inc | Clinic/Center | 1032 Grand Ave Ste 202, Saint Paul, MN 55105-3064 | 2018-01-31 |
| 1851759088 | Lhc Consulting, PC | Clinic/Center | 1619 Dayton Ave Ste 325, Saint Paul, MN 55104-6206 | 2016-02-02 |
| 1871879759 | Natural Connections Learning Center | Clinic/Center | 1801 Dudley Ave, Saint Paul, MN 55108-1003 | 2011-10-24 |
| 1417941063 | Center for Psychological Services for Twin Cities, Pa | Clinic/Center | 245 Ruth St N, Saint Paul, MN 55119-4323 | 2005-09-09 |
| 1831704816 | Bonnie Brae Psychotherapy LLC | Clinic/Center | 821 Raymond Ave Ste 440, Saint Paul, MN 55114-1525 | 2020-09-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on TWIN CITIES CENTER FOR PSYCHOLOGY & WELLNESS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.